0303-268 (ELEC)LICENSED CONTRACTOR DECLARATION ,
I hereby affirm under penalty of perjury that I am licenst'Id under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
/k.i5(33 B C9 C5+3 MID OV2R.i2(
Id `'/ / A L 1 '.Y Signature of Contractor '� {� y~
p.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to selMnsure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
-Qw'er 9TATMIN37 Policy No. IS42953.03
(This section need not be completed If the permit valuation is for $100.00 or less).
( ) I certify that in the performance of the work forwhich.this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I stI611 f rthwith comply with thlose+ rovisions;
Date: / + Applicant
Warning: Failure to secure Workers'Compensation coverage is unlawful and
shall subject an employer to, criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interestand attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set. forth on his
application.
1. Each person upon whose behalf this. application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of,,La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation:
I certify that I have read this application and state that: the above information is
correct: I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purilbses.
l ignature (Owner/Agent)-r,�dDate =� '
BUILDING PERMIT PERMIT#
DATE I 'l VALUATION LOT r OX13-268 TRACT
S 7,4 0.00
JOB SITE
APN
ADDRESS 4&3W DUNE YLAMS
-
fjWNER
CONTRACTOR / DESIGNER / EN (NEER
T..A wmTA C:mC,xri Gmiow OF JMe 10VA I1''S'PCYER
0"at'l.11 <.U0ION .`tac.
44-267 IV!LC1NTERT?"'y AVE
57370 29 PA 4,11, ITWY 42.01
PA.MDFZRP*L.f Cly 92160
YUCCAWITRY CA 9229=
(,160)365-8691 CBU 253;
USE OF PERMIT
ELL..+uJ' UCAL
SITE: I,10HTrN0 PEI". APPRI01�f.9D PLANSICALCS.
VA UA"f IOW 7,080.60 U
1:9fUA AT ) Ctrs Y W' C014g7'R1;TC.'il.C+1V
70110 'O
�. rr 11W gLTMA IRY
PLAN MIX% FE l a'f -000-439-3 t S W. $0
CONSTRUCTION FEE _000-418-000 R-000 $90.00
ELUCTRICa FEE $21,73
.'R{TCTION AND PLAN CHF.CIC
PRF, E.�?
$170.25
$0.00
,3
L? 0 L ° 3 �; �T'AI'.. FMW IF—YES M7TE POW
S170.15
j�
Zi
FINANCE DEPT. _ _.,
RECEIPT
DATE J Yr .
BY` ""^ -
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION.
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings {- Q31
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapaulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
-
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Witty Notice (Perm)
APR -03-2003 THU 11:26 AM STOKER CONST PD
MeDow:
pswistion:
8coper
',
�oeasaoz BrexlcrwI we'�"o°�°.�Pole Embedment In $ogl
a°rw�
Description Clydlar pole with Point & Uniform Loads La Quintal Mr
Without SWUce Restraint..
RequW DoO 2.119 ft
Prase ®113 Embed...
A*W 23745 pof
Allowable 257.03 psf
!o
. l n . 1`16"
$760 773 2778 P. 002/002
Job S
Deter' MAK 13 MAR 00
Point Load
dMatloe from base
Dleftibuted Load
dictum to top
dhbnm to bottom
TOW Moment
Tobi) lat"
of Jehovah'
58.00 lbs
19.000 ft
0.00 *ft
9.000 ft
0.000 ft
72ILM R4
56.00 on
00140V dp % +rati:
., $-x jxk zs#
CITY OF LX'1Q "A
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE fir_ "/o 7
4- s x/P>" A, 13
C¢� ¢jo.T
# 3 � sr,¢kuos � •
I',
Pegs 1
General infofmatlon
Allow POWM
250.00 pof
max Pan"
t.500.00 par
Load duration lector
1.990
Polo Is Circular
Diameter
18.000 in
No Surface Reetrelnt
' ummary
i
Mumonb 0 Surface...
Point bad
720.00 1t#
01stributed bed
0.00
Without SWUce Restraint..
RequW DoO 2.119 ft
Prase ®113 Embed...
A*W 23745 pof
Allowable 257.03 psf
!o
. l n . 1`16"
$760 773 2778 P. 002/002
Job S
Deter' MAK 13 MAR 00
Point Load
dMatloe from base
Dleftibuted Load
dictum to top
dhbnm to bottom
TOW Moment
Tobi) lat"
of Jehovah'
58.00 lbs
19.000 ft
0.00 *ft
9.000 ft
0.000 ft
72ILM R4
56.00 on
00140V dp % +rati:
., $-x jxk zs#
CITY OF LX'1Q "A
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE fir_ "/o 7
4- s x/P>" A, 13
C¢� ¢jo.T
# 3 � sr,¢kuos � •
I',
Pegs 1
MEN
Aries
TM Parkin Lot Roadway and Area Lighting
9 >, Y 9 9
�, AVS Lamp ANSI Lamp Catalogue Number
Wafts Type: Shape Order Mounting 8rackel Separately
NEMA V, Cut -Off DOWN LIGHTING
a R Ng, -q AVR SERIES
"P.
400
M135
ED37 /BT37
NEMA IV
r..>
CSA N
Certified
M144
For Outdoor Use
Vertical Lamp
Aries' luminalres are designed to take advantage of the
performance benefits of vertical metal halide lamps.
_$tandard probe start and pulse start metal halide lamps
are designed for optimum performance in specific
operating,positions. Published data shows that
Olversal burning lamps. have higher Initial lumens,
higher mean light levels and longer lamp life than the
same lamp operating in a non -vertical position.
Construction
AVS & AVP: Heavy gauge die formed aluminum.
AVR: Heavy gauge roiled aluminum.
All Aries- luminaires feature continuous welded seams and.
internal reinforcing splines for ballast and mounting bracket
attachment
Lens Assembly
High heat tolerant sag glass lens exceeds ANSf,Spec 291.1
making it four times stronger than annealed glass.
AVS & AVP: Hinged and gasketed lens assembly.
AVR:1ens is attached with heavy duty torsion springs.
Reflector Assembly
One piece fully faceted reflector for rigidity, vibration
resistance and overall luminaire efficiency.
Mounting
Acomplete,range of mounting brackets is available for new
or existing poles.
Finish
Baked polyester powder coat. Standard dark bronze.
Corporate colors, pin striping and decorative detailing
effects are available.
Nema V. Cut -Off
Pulse Start Metal Halide
400
M135
ED37 /BT37
AVR400MH-(volts)-PSB-R5
450
M144
ED37 /BT37
AVR450MH-(volts)-PSB-R5
750
M149
ED37/BT37
AV750MH-(volts)-PSB-R5
1000
M141
ED37/BT37
AVR100DMH-(volts)-PSB-R5
Socket
Specification grade porcelain lampholder. Noma IV,.cut-oft
Ballasts
HPF ballasts are suitable low temperature starting.
MH -30°C, Pulse Start MH -40, HPS -40'C
AVR EPA: 2.15 AVP EPA: 2465
�2i 1�4 _J plus mounting
bru*1�19� 2Q" plus mounting
—11 �(� j bradcet
14'^ 1 IT
1 17i�° _L 18tY2
AVS EPA: 2.20 Pole Drilling Pattern
„ plus mounting For"bolt-on"
020 bracket brackets
— listed on"
14" Ip page 71 12 4 S,
4 holes'ti6'
4- bolts I
Pulse. Start Metal Halide
Metal Halide
M136
ED371 BT37
400 M59 ED37 / BT37
AVR400MH-(volts)-R5
M144
1000 M47 ED37 /-BT37
AVR1000MH-(volts)-R5
750
High Pressure Sodium
ED37/BT37
AV750MH-(volts)-PSB-Fir
400 S51 ED18
AVR400HP-(volts)-R5
ED37/BT37
750 S111 ED37/BT37
AVR750MH-(volts)-R5
✓
1000 S52 ED37 / BT37
AVR1000MH-(volts)-R5
AVS SERIES
AVP400MH-(volts)-FT
1000
M47
Pulse Start Metal Halide
AVP1000MH-(volts)-FT
✓v1CWA
only
400 M135 E037 / BT37
AVS400MH-(volts)-PS8-R5
A
450 M144 ED37/BT37
AVS450MH-(volts)-PSB-R5
A
M149 ED37/BT37
AV750MH-(volts)=PS1B-R5
v/
1000 M141 ED37/BT37'
AVS1000MH-(volts)-PSB-R5
Nema Y. Cut -Off
A
✓
✓
Metal Halide
X
X
400 M59 ED37 / BT37
AVS400MH-(volts)-R3
Metal Halide
1000 M47 E0371 BT37
AVS1000MH-(volts)-R5
High Pressure Sodium
400 S51 ED18
AVS400HP-(volts)-R5
(120P177/347V )
750 S111 ED37 / BT37
AVS750MH-(v0tfs)-RS
✓
10M S52 ED37 / BT37
AVS1000MH-(volts)-1R5
PERIMETER LIGHTING
✓
AVP SERIES
✓
OT - Quad -Tap
Socket
Specification grade porcelain lampholder. Noma IV,.cut-oft
Ballasts
HPF ballasts are suitable low temperature starting.
MH -30°C, Pulse Start MH -40, HPS -40'C
AVR EPA: 2.15 AVP EPA: 2465
�2i 1�4 _J plus mounting
bru*1�19� 2Q" plus mounting
—11 �(� j bradcet
14'^ 1 IT
1 17i�° _L 18tY2
AVS EPA: 2.20 Pole Drilling Pattern
„ plus mounting For"bolt-on"
020 bracket brackets
— listed on"
14" Ip page 71 12 4 S,
4 holes'ti6'
4- bolts I
Pulse. Start Metal Halide
400
M136
ED371 BT37
AVP400MH-(votts)_PSB-FT
450
M144
ED371BT37
AVP450MH-(volts)•PSB-FT
750
M149
ED37/BT37
AV750MH-(volts)-PSB-Fir
1000
M141
ED37/BT37
AVP1000MH-(volts)-PSS-FT
Metal Halide
✓
400
M59
ED37 /'BT37
AVP400MH-(volts)-FT
1000
M47
ED37 / BT37
AVP1000MH-(volts)-FT
High Pressure Sodium
Pulse Start,Metal Halide
400 S51 ED18
AVP400HP-(volts)-FT
750 S111 ED37 / BT37
AVP750MH-(volts)-FT
1000 S52 ED37 / BT37
AVP1000MH-(volts)-FT
Primary Voltage Availability -Replace "(volts)" in cat # with required voltage.
Watts ANSI 120 206 240 277 847 480 600 TT OT
Pulse Start,Metal Halide
✓ Available
400 M-135
✓ A
A
✓
be.
A
X
or
✓
X Not available
450 M-144
✓ A
A
✓.
✓
A
X
✓v1CWA
only
750 M-149
✓ A
A
se
V'
A
X
X
v/
1000 M-141
✓ .A
A
✓
✓
A
X
X
✓
TT - Tri -Tap
Metal Halide
(120P177/347V )
400 M-59
✓ ✓
✓
✓
✓
✓
✓
we
✓
OT - Quad -Tap
1000 M-47
✓ A
A
✓
✓
A
X
✓
✓
(1 20120.=40/277V)
High Pressure
Sodium
120, 277 or 347
400 S-51
✓ ✓
✓
✓
✓
✓
✓
✓
✓
line to ground
750 'S-111
✓ A
i
✓
we
A
X
14
k
voltages
10(10 S-52
✓ A
A
✓
✓
A
X
✓
✓
recommended
I -4'---I
Acculite - Division of luno Lighting Ltd., 219 Shoemaker St., Kitchener, ON NH 3B3
n�.e N calla,. aaooi ►�e 4�a:ua. r« �oio�
34
Phone 519.893.1500' 800.265.7844 Visit us at www.occuliteltg:com
Fox 519.893.7101 800:594.5175
Ari lmaTM
Mounting Brackets
Tenon: Mount Direct to Pole "n, AVS 9 Ar
Single- Tenon
Models: AVS & AVP
E.P:A.: 0.30
Arm: 8"
Tenon: 2'
Weight: 11.0 Ib
AVS -T20 -S8 -colour
Tenon: 2V
Weight: 12.04b
AVS=T25-S8-colour
Double - Tenon
Models: AVS & AVP
E.PA.:.0.45
Arms: ie
Tenon: 2"
Weight: 19.0 Ib
AVS -T20 -D8 -colour
Tenon: 214"
Weight: 17.5 Ib
AVS425-D8-colour
Triple. -Tenon
Models: AVS & AVP
E.P.A:: 0.65
Aims: 12'
Tenon: 2"
Weight' 23Z lb
AVS420412-colour
Tenon:•21
Weight: 25.0 Ib
AVS425412-cdour
Quadruple -Tenon
Models: AVS & AVP
EPA.: 0.80
Arms: 12"
pluft
VA a PF
Tenon: V
Weight: 29.5 lb
AVS -T20 -012 -colour
Tenon: 2Y
Weight: 31.0 Ib
AVS -T25 -012 -colour
Colour
Bronze No suffix
(S►andarO
Black -BL
White -WH
Designer Colours
Consult. Factory
Note: Co-ordinate luminake
and bracket colour
JUnC lV tfig 1300 S. Wo
Single - Tenon
Model: AVR
E.P.A.: 0.30
Ann: 8"
Tenon: 2"
Weight: 11.0 lb
AVR-T20-S8-colour
Tenon: 21¢'
Weight: 12.0,110
AVR425-S8-colour
Double -:Tenon
Model: AVR
E.P.A.: 0.45
Arms: 8"
Tenon: V
Weight: 19.0 Ib
AVR-T20-Mcdour
Tenon: 2W
Weight: 17.5 Ib
AVR425-DS-colour
Triple - Tenon
Model: AVR
EPA: 0.65
Arms: 12"
Tenon: -2'
Weight: 23.5 ib
AVR420412-cotour
Tenon: 2V
Weight: 25.0 lb
AVR425412-colour
Quadruple - Tenon
Model: AVR
E.PA.: 0.60
Arms: 17
Tenon:2"
Weight: 29.5 Ib
AVR-T20-012-cdlour
Tenon: 2W
Weight: 31.0 Ib
AVR-T25-012-colour
Uni-Directional 7Wln
- Tenon
Model:. AVP
E.P.A::10:80
Arms: 8•
Tenon: 2" Weight: 25.0 Ib
AV13420-CL90-colour
Tenon: 2T Welght:'25:0:1b
AVP425-CL90-colour
Rood, P.O. box
Single - Direct to Pole
Models: AVS & AVP
E.P.A.: 020
Arm: S.
W"q
Pole: Square
Weight: 4.5 lb
AVS -S -AMB -colour
Single - Direct to Pole
Model. AVR
EP:A.: 0'.20
Arm: 8" te
Pole: Square
Weight: 4.5 lb
AVR-S-AM-8-cokur
"Zed" Bracket
- Direct to Pole
Models: AVS & AVP__ -
EPA.: 0.70
Pole: 4", 5",'V_Sgt
Weight: 10:3 lb
AVS -S -Z -colour
'Y' Bracket
--Direct to Pole ���
Model: AVS V
EPA: 2.50
lv
Pole: 4' Square
Weight: 39.0 Ib
AVS -4S -Y -colour
Pole: 5" Square
Weight: 40.0 lb
AVS -SS -Y colour
Pole: 8- Square
Weight: 41.0 lb
AV"S-Y coeur
Uni-Directional Twin
Direct to Pole
Model: AVP
E.PA:0.80 (pair)
Arms: S'
Pole: 4" Square
5" Square
W Square
Weight: 21.01b (pair)
600175065 Ph... RRM76.9
35
Mounting Flexibility
Mounting Fletdbility
Aries` luminaires are designed for a wide
range of mounting configurations. Aries- is
suitable for both, new and existing pole'
locations. Aries` uses rigid tour point
luminaire attachments for maximum
strength in both tenon and direct to pole
mounting arrangements.
Aries- Pole Selection Guide
While there are many factorsao consider in the
selection of new or in the use of existing poles
to mount luminaires such as the Aries", some
factors for maximum safety include ...
- Ensure that the total luminaire and acces-
sory weight and the. E.P.A. loading, requirement
for each lighting standard is compatible with the
pole manufacturers recommendations. Consult
your pole supplier.
- Consider the maximum anticipated wind
velocities at the site of the proposed install-
ation. Coordinate with the pole manufacturers
specifications to ensure that the selected pole
complete with luminaires and brackets have the
design capability to withstand the effects of the
projected wind velocities.
- The size, depth and construction of the pole
foundation plays a critical role in the safety of
outdoor fighting installations. For maximum
safety, a qualified professional engineer should
be consulted to review the proposed pole
locations, conduct a soil evaluation and design
a base: suitable for the pole and'luminaires to
be installed.
- In areas where poles may be subject to
damage from vehicular traffic;,maintenance
vehicles and normal parking errors, the pole.
base should be protected with concrete piers or
other protective barriers.
Mounting Brackets
Mounting brackets for Aries" fuminaires are
ordered and shipped separately.
Direct to Pole: Square pole brackets fit 4" X 4"
or larger square poles.
Tenon Mounting: Tenon mounting brackets are
ordered to suft the pole top tenon size of new
or existing poles.
For, new installations, consider luminaire
quantities, overall weight,, and total EPA
requirements when selecting the pole tenon
size. This catalogue lists the two most common
tenon sizes, 2" and 2V.
The 2W tenon is suggested for three and four
light clusters
2"'tenon brackets are 21/1"ID - fits '2%' OD.
21f2" tenon brackets. are 311) - fits 2%" OD
Larger tenon sizes are available. Consult
factory W order
5�
Accul1twe
Fox 847-827-2457 Visit us of www.iunolighting;com
n+..edHc.�cneoi iv. � e". M 1olai
■ �
I I l'
Lumindire
Schedule
Project;
All Projects
Qty
Lobel Description Lumens. LL,
8
A AVS400MH-QT-R5-PSB-L 44000
I
C AVP400MH-QT-FT-PSB-L 44000 0.7c0
0.4 1.7 a
0.5 3.5 13
a 0 0
0.5 2.5 6.,
0.3 0.9 2.:
0.4 1.3 3.2 3:1
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
Numeric
Summary
Project;
All Projects
Label
Avg Max
Min Avg/Min
Max/Min
Grade
3.58 .14.3
0.3 11.93
47:67
.0 \ \ 1�
o a 0 \ -0 0 0 0 0 \ a
5.1 5.5 2.9 2.0 5.0 .5.4 2.7 i 0.8 1:4 4..
0.7
7 5.5 3.3 1.6
/0�5. a .9
10' P@LE + 2' BASE
0 a 0 0 0 i o 0
1.6 2.1 3.4 2.3 0.9 0.7 1.5
0.8 1. 0 7
4.3 5.5 3.7
7.6 1 6.1
' 0
0:6
3i8 9,E
10' P@LE + 2' BASE
0 a 0 0 0 i o 0
1.6 2.1 3.4 2.3 0.9 0.7 1.5
0.8 1. 0 7
4.3 5.5 3.7
7.6 1 6.1
2- 3
' 0
1.5
0
W
0
3
47
2:8
2.
1.0
5.6
W
2- 3
:2.9
1.5
1.1.
W
�...
3.4
2:8
1.2
1.0
0 0
98 5.0
2.0
3.0
1,7
0.6
W
�...
2.2
3.5
2.0
0.6
IJ]
W
I
�11;5
W
7
4
15.6
O
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5.4
1.3
C -U-5
-
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i C
O a a a a a a a a a a a a a a �' a 0 a a a 0 a a a o
0.4 2.3 4,4 4.4 2.8 0.6 0.5 1.9 4.8 4.8 2.2 3.5 5:2 3.9 1.0 0.7 2.4 5.0 4.3 1.4. i.l 3.6' S.1 3:3 0.7
MAINTAINED HORI;ZONTAL.FOOTCANDLES
SHOWN AT GRADE LEVEL.
n 0 0 c o a a 0 o a a a 'A
o a ' 0 0 a 0 0 a 0 0 0 a
10 I6 'A C. 'I1 04 -2 95 92 98 9;6 97 I0 97 8Y4 -i 93 95 �T-97 ^4 94 97 9� 96 93
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UI
SHEET:
LIO 1